Most people find the pain is much better after three days. Most people also find that all the symptoms are gone after 10 days if they've had treatment.1
Usually people with an outer ear infection are treated by their family physician. Your doctor will look into your ear with an otoscope and probably prescribe you some ear drops. They will tell you to come back if the pain gets worse or if you still have symptoms after 10 days.
Your family physician may send you to see a doctor who specializes in treating ear, nose, and throat diseases. This is more likely if you have a bad infection. The specialist is also likely to give you ear drops.
Your doctor might also take a sample of pus from your ear to send to the laboratory. This is to check which type of bacteria is causing the infection. But this will probably happen only if your ear infection does not go away with the ear drops.
Some people get a chronic infection. This means that the infection does not go away completely. If you have a chronic ear infection, the swelling caused by the inflammation may make your ear canal too narrow. This can make it difficult for you to hear.2 But it's rare to get long-term hearing problems from an outer ear infection.2
If your infection has become chronic, or if your ear is quite swollen, your doctor may clean out your ear canal and put a "wick" (a piece of gauze or sponge soaked in medication) down your ear canal. This will help the medication get to the bottom of your ear canal, close to your eardrum. You may need to have the wick in your ear for a few days and keep it moist with ear drops.
We don't know what happens to people who don't have treatment. Some outer ear infections go away without treatment, but this can take months.2 Most people do have treatment because this makes the pain go away more quickly.3 If you don't have treatment, your infection might become chronic.2
Some people get repeated outer ear infections. We don't know why this happens. But if you swim a lot and have had one ear infection, you are quite likely to have another one.
Most outer ear infections are not serious and can be treated successfully. Ra rely, an outer ear infection can affect the bones in the skull and cause more serious problems. If this happens, it's an emergency and you will be sent to the hospital right away.4 Serious infections mainly occur in older people who have diabetes.
There are things you can do to help your ear infection get better and to stop it from coming back.
- Sander R. Otitis Externa: a practical guide to treatment and prevention. American Family Physician. 2001; 63: 927-936, 941-942.
- Agius AM, Pickles JM, Burch KL. A prospective study of otitis externa. Clinical Otolaryngology. 1992; 17: 150-154.
- Cannon SJ, Grunwaldt E. Treatment of otitis externa with a tropical steroid-antibiotic combination. Eye Ear Nose Throat Monthly. 1967; 46: 1296-1302.
- Hirsch BE. Infections of the external ear. American Journal of Otolaryngology. 1992; 13: 145-155.
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This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved. |











